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F O O D A N D N U T R I T I O N S E R I E S HEALTH Water-Soluble Vitamins no. 9.312 by J. Anderson and L. Young 1 (8/08) Quick Facts... B-complex vitamins and vitamin C are water-soluble vitamins that are not stored in the body and must be replaced each day. These vitamins are easily destroyed or washed out during food storage and preparation. The B-complex group is found in a variety of foods: cereal grains, meat, poultry, eggs, fish, milk, legumes and fresh vegetables. Citrus fruits are good sources of vitamin C. Use of megadoses of vitamins is not recommended. © Colorado State University Extension. 3/02. Revised 8/08. www.ext.colostate.edu Vitamins are essential nutrients found in foods. The requirements are small but they perform specific and vital functions essential for maintaining health. The two types of vitamins are classified by the materials in which they will dissolve. Fat-soluble vitamins — vitamins A, D, E and K — dissolve in fat before they are absorbed in the blood stream to carry out their functions. Excesses of these vitamins are stored in the liver. Because they are stored, they are not needed every day in the diet. By contrast, water-soluble vitamins dissolve in water and are not stored; they are eliminated in urine. We need a continuous supply of them in our diets. The water-soluble vitamins are the B-complex group and vitamin C. Water-soluble vitamins are easily destroyed or washed out during food storage or preparation. Proper storage and preparation of food can minimize vitamin loss. To reduce vitamin loss, refrigerate fresh produce, keep milk and grains away from strong light, and use the cooking water from vegetables to prepare soups. (See Table 1.) Vitamin B-Complex Eight of the water-soluble vitamins are known as the B-complex group: thiamin (vitamin B1), riboflavin (vitamin B2), niacin, vitamin B6, folate, vitamin B12, biotin and pantothenic acid. These vitamins are widely distributed in foods. (See Table 2.) Their influence is felt in many parts of the body. They function as coenzymes that help the body obtain energy from food. They also are important for normal appetite, good vision, healthy skin, healthy nervous system and red blood cell formation. Beriberi, pellagra and pernicious anemia are three well-known B-vitamin deficiencies. These diseases are not a problem in the United States, but occasionally they occur when people omit certain foods or overeat certain foods at the expense of others. Alcoholics are especially prone to thiamin deficiency because alcohol replaces food. Vegans will need a B12supplement. When grains and grain products are refined, essential nutrients lost during processing are put back into these foods through a process called enrichment. Among the nutrients added during the enrichment process are thiamin, niacin, riboflavin, folate and iron. Some examples of enriched grain products are white rice, many breakfast cereals, white flour, breads and pasta. For some populations, rice is the main dietary staple. When “polishing” rice (removing its outer layers) became popular, thiamin deficiency, or beriberi, increased significantly. In the early 1900s, the most widespread vitamin deficiency disease in the United States was pellagra, or niacin deficiency. At that time, pellagra caused thousands of deaths and many cases of mental and physical illness among the Table 1: Water-soluble vitamins and their characteristics. Common food sources Major functions Deficiency symptoms Overconsumption symptoms Stability in foods Nontoxic under normal conditions; rebound scurvy when high doses discontinued; diarrhea, bloating, cramps; increased incidence of kidney stones. Most unstable under heat, drying, storage; very soluble in water, leaches out of some vegetables during cooking; alkalinity (baking soda) destroys Vitamin C. Vitamin C (abscorbic acid) Citrus fruits, broccoli, Formation of collagen (a component Bleeding gums; wounds strawberries, melon, of tissues), helps hold them together; don’t heal; bruise easily; green pepper, wound healing; maintaining blood dry, rough skin; scurvy; tomatoes, dark green vessels, bones, teeth; absorption of sore joints and bones; vegetables, potatoes. iron, calcium, folacin; production of increased infections. brain hormones, immune factors; antioxidant. Thiamin (vitamin B1) Pork, liver, whole Helps release energy from foods; Mental confusion; muscle None known. grains, enriched grain promotes normal appetite; weakness, wasting; products, peas, meat, important in function of nervous edema; impaired growth; legumes. system. beriberi. Riboflavin (vitamin B2) Liver, milk, dark Helps release energy from foods; green vegetables, promotes good vision, healthy whole and enriched skin. grain products, eggs. Losses depend on cooking method, length, alkalinity of cooking medium; destroyed by sulfite used to treat dried fruitssuch as apricots; dissolves in cooking water. Cracks at corners of None known. Sensitive to light; mouth; dermatitis around unstable in alkaline nose and lips; eyes solutions. sensitive to light. Niacin (nicotinamide, nicotinic acid) Liver, fish, poultry, meat, peanuts, whole and enriched grain products. Energy production from foods; aids digestion, promotes normal appetite; promotes healthy skin, nerves. Skin disorders; diarrhea; weakness; mental confusion; irritability. Abnormal liver function; cramps, nausea; irritability. Vitamin B6 (pyridoxine, pyridoxal, pyridoxamine) Pork, meats, whole grains and cereals, legumes, green leafy vegetables. Aids in protein metabolism, absorption; aids in red blood cell formation; helps body use fats. Skin disorders, dermatitis, None known. Considerable losses during cracks at corners of mouth; cooking. irritability; anemia; kidney stones; nausea; smooth tongue. Folacin (folic acid) Liver, kidney, dark Aids in protein metabolism; promotes Anemia; smooth tongue; May mask vitamin B12 green leafy vege- red blood cell formation; prevents diarrhea. deficiency (pernicious tables, meats, fish, birth defects of spine, brain; lowers anemia). whole grains, fortified homocystein levels and thus coronary grains and cereals, heart disease risk. legumes, citrus fruits. Vitamin B12 Easily destroyed by storing, cooking and other processing. Found only in animal Aids in building of genetic material; aids Pernicious anemia, anemia; None known. foods: meats, liver, in development of normal red blood neurological disorders; kidney, fish, eggs, cells; maintenance of nervous system. degeneration of peripheral milk and milk products, nerves that may cause oysters, shellfish. numbness, tingling in fingers and toes. Pantothenic acid Liver, kidney, meats, Involved in energy production; aids in egg yolk, whole formation of hormones. grains, legumes; also made by intestinal bacteria. Uncommon due to availability None known. in most foods; fatigue; nausea, abdominal cramps; difficulty sleeping. Biotin Liver, kidney, egg yolk, Helps release energy from carbo- milk, most fresh hydrates; aids in fat synthesis. vegetables, also made by intestinal bacteria. Uncommon under normal None known. circumstances; fatigue; loss of appetite, nausea, vomiting; depression; muscle pains; anemia. About half of pantothenic acid is lost in the milling of grains and heavily refined foods. Table 2: Major food sources of water-soluble vitamins. Grains Fruits Vegetables Meats, Eggs Legumes, Nuts, Seeds Thiamin X X X Riboflavin X Niacin X X X Biotin X X X Pyridoxine X X Pantothenic acid X X X X X Vitamin B12 X Folate X X Vitamin C X X Milk, Dairy X X X X poor in the Southeast. The enrichment of flour, rice and wheat products helped to eliminate the deficiency problems found in people who depended on these food items for most of their daily calories. Table 3 summarizes the new standards for nutrient recommendations: The Dietary Reference Intake (DRI). The recommendations meet the average daily nutritional needs of all healthy people. To ensure the needs of all in the population, the DRI usually exceeds the requirements for most people. They do not cover requirements for illness and special health disorders. Vitamin C Why do we need vitamin C? Like the other vitamins, the body needs vitamin C to keep it in good working order. Also known as ascorbic acid, vitamin C helps hold body cells together, aids in wound healing, assists in bone and tooth formation, strengthens the blood vessel walls, is vital for the function of the immune system, and improves absorption and utilization of iron. It also helps Table 3: Dietary reference intakes (DRI). Selected prevent nutritional ailments such as scurvy, the recommended levels for individual intakes. disease that did the most to bring public attention RDA or A1 to vitamin deficiency diseases. (ages 19-50 yrs) Our bodies cannot make vitamin C. Nutrient Male Female Therefore, every day we must eat foods containing Thiamin (mg) 1.2 1.1 this vitamin. Although the body has a constant Riboflavin (mg) 1.3 1.1 need for vitamin C, it has a limited storage Niacin (mg) 16 14 capacity. A regular and adequate intake is essential. Vitamin B6 (mg) 1.3 1.3 Folate (mcg) 400 400 Eating vitamin C-rich foods is the best Vitamin B12 (mcg) 2.4* 2.4* method to ensure an adequate intake of this Pantothenic acid (mg) 5* 5* vitamin. While many common foods contain Biotin (mcg) 30* 30* vitamin C, the best food sources are citrus fruits. Vitamin C (mg) 90 75 One orange, a kiwi fruit, 6 oz. of grapefruit juice or (mg = milligrams, (mcg = micrograms) 1 1/3 cup of chopped sweet red pepper each supply RDA and Adequate Intake (AI) values from the 1997/1998 DRI reports. enough vitamin C for one day. * AI value. Some conditions have been shown to increase vitamin C requirements. They are: • environmental stress, • use of certain drugs (such as oral contraceptives), • tissue healing of wounds, • growth (children and pregnant women), • fever and infection, and • smoking. The controversy over megadoses of vitamin C to prevent or cure the common cold and other disorders has not been resolved. Vitamin supplements will not necessarily provide extra energy, clear up skin problems, or prevent and cure the common cold, heart disease, and cancer. Unlike pellagra, beriberi, or scurvy, these problems are not the result of a vitamin deficiency. What is known is that the only disease a vitamin will cure is the one caused by a deficiency of that vitamin. References Alexander, S.W. 1995. Specific nutrients and the immune response. Nutrition. 11:229. Gershoff, S.N. 1993. Vitamin C, new roles, new requirements? Nutrition Reviews. 51:(Nov)313. Greenwald, P. 1994. Antioxidant vitamins and cancer risk. Nutrition. 10:433. “Nutrient Requirements Get a Makeover: The Evolution of the Recommended Dietary Allowances,” Food Insight, September/October 1998. RDAs and Estimated Safe and Adequate Daily Dietary Intake (ESADDI), Food and Nutrition Board, 1989. Wardlow, G.M., and Insel, P.M. 1995. The water soluble vitamins. In: Perspectives in Nutrition. 3rd edition, pp. 437-479. St. Louis, Mosby. J. Anderson, Colorado State University Extension food and nutrition specialist and professor; and L. Young, M.S. , former graduate student. Vitamin C also serves as an antioxidant. It works with vitamin E as a free-radical scavenger. Studies suggest that vitamin C may reduce the risk of certain cancers, heart disease, and cataracts. Research continues to document the degree of these effects. Definitions Dietary Reference Intake (DRI): The new standards for nutrient recommendations that can be used to plan and assess diets for healthy people. Think of Dietary Reference Intakes as the umbrella term that includes the following values. Estimated Average Requirement (EAR): A nutrient intake value that is estimated to meet the requirement of half the healthy individuals in the group. It is used to assess nutritional adequacy of intakes of population groups. In addition, EARs are used to calculate RDAs. Recommended Dietary Allowance (RDA): This value is a goal for individuals and is based on the EAR. It is the daily dietary intake level that is sufficient to meet the nutrient requirement of 97 to 98 percent of all healthy individuals in a group. If an EAR cannot be set, no RDA value can be proposed. Adequate Intake (AI): This is used when an RDA cannot be determined. A recommended daily intake level based on an observed or experimentally determined approximation of nutrient intake for a group (or groups) of healthy people. Tolerable Upper Intake Level (UL): The highest level of daily nutrient intake that is likely to pose no risks of adverse health effects to almost all individuals in the general population. As intake increases above the UL, the risk of adverse effects increases. Source: Food Insight, September/October 1998. 1 Colorado State University, U.S. Department of Agriculture and Colorado counties cooperating. Extension programs are available to all without discrimination. No endorsement of products mentioned is intended nor is criticism implied of products not mentioned.